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The investigators are asking subjects to take part in the Patient NAVIgation to Reduce Readmissions among Black Men with Heart Disease (NAVI-HF) research study. This research study will test how well trained laypeople working as patient navigators will help patients recently hospitalized for heart failure avoid future hospitalizations. NAVI-HF is a new program sponsored by funding from the National Institute of Minority Health and Health Disparities. People who enter into the study will work with a patient navigator to undergo the full program or work with a trained layperson to receive general education on heart disease treatment and prevention. The purpose of the study is to determine whether a patient navigation program will be effective in reducing the number of hospitalizations in the future for program participants. This study will enroll 416 participants from UAB.
Therefore, in the Patient NAVIgation to Reduce Readmissions among Black Men with Heart Disease (NAVI-HF) study, the investigators propose to recruit 416 AA men with Heart Disease receiving inpatient care at UAB Hospital and randomize them either to Heart Disease self-care education plus a patient navigator-delivered self-care plan (Education + PN arm) or to Heart Disease self-care education alone (Educational Control arm). The investigators will compare participant outcomes such as all-cause and Heart Disease readmission rates, Heart Disease self-care adherence as well as cost effectiveness across the two intervention arms. Our Specific Aims are:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Education + PN Arm | Experimental | 208 patients randomized to self-care education+ Patient navigator-delivered self-care plan. |
|
| Educational Control Arm | Active Comparator | - 208 patients randomized to self-care education alone. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Education + Patient Navigation | Behavioral | 208 patients randomized to self-care Education+ Patient Navigation-delivered self-care plan. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Readmission Rates | Re-hospitalization of Heart Disease patients within 30 days of being discharged home. | Within 30 days |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Raegan W Durant, M.D., MPH | University of Alabama at Birmingham | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UAB Medical West | Bessemer | Alabama | 35022 | United States | ||
| UAB |
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| ID | Term |
|---|---|
| D006331 | Heart Diseases |
| ID | Term |
|---|---|
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D004522 | Educational Status |
| D062526 | Patient Navigation |
| ID | Term |
|---|---|
| D012959 | Socioeconomic Factors |
| D011154 | Population Characteristics |
| D018802 | Patient-Centered Care |
| D011320 | Primary Health Care |
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| Self-care Education | Behavioral | 208 patients randomized to self-care education alone. |
|
| Birmingham |
| Alabama |
| 35294 |
| United States |
| D003191 | Comprehensive Health Care |
| D010346 | Patient Care Management |
| D006298 | Health Services Administration |